Telehealth Reimbursement

Providers Dodged Major Medicare Payment Cuts But More Work To Be Done

December 20, 2021 - Healthcare providers have evaded a nearly 10 percent reduction to their Medicare payments in 2022 thanks to swift Congressional action. However, more work still needs to be done to support physicians and hospitals as they navigate a post-pandemic world. “This bill is a band aid,” says Patricia L. Turner, MD, MBA, FACS, incoming executive director of the American College of...


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Telehealth Reimbursement Needed to Address Demand, Staffing Issues

by Jacqueline LaPointe

Telehealth reimbursement is key to continuing virtual care innovation and addressing healthcare staffing issues at primary care practices, according to a new survey. The survey conducted in mid-August...

Telehealth Claim Lines Stabilize After Months of Decline

by Jacqueline LaPointe

The percentage of telehealth claim lines has stabilized at about 5 percent of medical claim lines, indicating a new balance of virtual and in-person care. The analysis conducted by FAIR Health as part...

Remote Patient Monitoring, Telehealth Support Value-Based Contracts

by Jacqueline LaPointe

The COVID-19 pandemic has blown the doors wide open on telehealth, especially with new reimbursement parity policies. But value-based contracts can support the growing interest in remote patient...

States Make Progress with Telehealth Reimbursement Laws

by Jacqueline LaPointe

The COVID-19 pandemic has resulted in a significant increase in state telehealth reimbursement laws, but more progress can still be made to address the biggest barrier to telehealth adoption, lawyers...

Primary Care Needs Telehealth Reimbursement, Targeted Relief

by Jacqueline LaPointe

Better-targeted federal relief, continued telehealth reimbursement, and help acquiring personal protective equipment are some ways primary care providers can maintain financial stability as the...

CMS Finalizes 2021 Physician Fee Schedule, Including E/M Changes

by Jacqueline LaPointe

After some delay due to the COVID-19 pandemic, CMS has released the final rule for the 2021 Medicare Physician Fee Schedule. The final rule unveiled by CMS yesterday evening will dictate how much...

Telehealth Billing Leveled Out in August, But Still Up 3,552%

by Jacqueline LaPointe

Providers are still treating a significant number of patients virtually or by phone, but telehealth billing has plateaued compared to earlier this year, according to updated data from FAIR...

CMS Provides Medicare Reimbursement for More Telehealth During PHE

by Jacqueline LaPointe

CMS recently added 11 new services to the Medicare telehealth services list, qualifying the services for Medicare reimbursement through the COVID-19 public health emergency (PHE). The new telehealth...

Telehealth Reimbursement Just for Value-Based Providers Post-COVID?

by Jacqueline LaPointe

The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the COVID-19 pandemic. In a meeting held virtually last week, MedPAC analysts...

CMS Proposes to Boost Office Visit Pay, Expand Telehealth Coverage

by Jacqueline LaPointe

Which Medicare waivers will be made permanent by CMS after the COVID-19 public health emergency is still up in the air, but the recently proposed 2021 Physician Fee Schedule rule indicates that...

Healthcare Revenue Cycle Recovery After the COVID-19 Pandemic

by Jacqueline LaPointe

Halfway through 2020, hospitals have been doing the unimaginable. Patients have been asked to avoid healthcare facilities when possible, while more visits have been done via smartphones and laptops than in exam rooms. Meanwhile, some...

CMS to Assess Telehealth Reimbursement Rates Post-Pandemic

by Jacqueline LaPointe

Telehealth reimbursement rates is one area CMS is assessing in order to make Medicare telehealth expansions permanent after the COVID-19 pandemic, according to the agency’s administrator. For...

Telehealth Billing Increased 8,336% from April 2019 to April 2020

by Jacqueline LaPointe

Telehealth billing continued to surge amid the COVID-19 pandemic, with telehealth claim lines increasing by 8,336 percent in April 2020, according to a new FAIR Health data. New data from FAIR...

Layoffs Continue as Primary Care Braces for Return to Pre-COVID Pay

by Jacqueline LaPointe

Primary care practices are still furloughing and laying off staff to improve financial stability during the COVID-19 pandemic, according to a recent survey of clinicians. For more coronavirus updates,...

AHA’s List of COVID-19 Flexibilities That Should Stay and Go

by Jacqueline LaPointe

As the country entered both a national emergency and public health emergency, CMS implemented a range of COVID-19 flexibilities, including waivers that enabled hospitals and health systems to increase...

Beyond the Pandemic: Telemedicine Reimbursement and Health Policy

by Jacqueline LaPointe

In the wake of the first confirmed cases of COVID-19 in the US, policymakers quickly relaxed long-standing healthcare regulations, including telemedicine reimbursement and healthcare fraud prevention...

Primary Care Practices to Take $15B Hit from Early COVID-19 Response

by Jacqueline LaPointe

Primary care practices are slated to lose approximately $15 billion as a result of dramatic declines in office visits and reimbursements during the peak of the COVID-19 pandemic in the US, reveals a...

Providers Want Equal Telehealth Reimbursement Beyond COVID-19

by Jacqueline LaPointe

Telehealth use has increased dramatically in a matter of weeks, enabling providers to continue seeing patients despite social distancing and shelter-at-home restrictions due to COVID-19. But these...

How COVID-19 Imperiled Physician Practices, And How to Save Them

by Jacqueline LaPointe

Some have heard the ringing of the death knell for physician practices for years now. Mergers and acquisitions, industry consolidation, value-based care, and the growing presence of private equity firms in healthcare have all threatened...